23576 DA - Change a Development Approval [As Published] · 132003.221108.2

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Table C—premises coordinates (appropriate for development in remote areas, over part of a lot of iti water e.g’channél °*
dredging in Moreton Bay) . ‘ \ . ee FG % Y aa!
Coordinates , Zone Datum i Local government: i.
‘(note: place each set of coordinates In a separate row) reference , | area (If applicabte)
Easting Northing Latitude Longitude . : - TY a 1
as :
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L] Other . { '
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[4° Yes—complete elther table D or table £ as applicable

 

 

 

 

 

 

 

 

 

 

 

 

Table D :
Name of owner of the land { a 4
|, the above-mentioned owner of the land, consent to the making of this request. i. doe oe
Signature of owner of the land ‘ sO

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Date ee hom ge
Table & Pot
Name of owner of the land | Lo PERLE
[nl the owner's written consent is attached

 

vente deeeee en ake ead

AN ce sateen de dhe eed

 

3 . Request to change an existing approval template ...
Version 1.1 March 2010

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a. obs 4